EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
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EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
EMERGENCY MEDICINE EOR EXAM LATEST 2023-
2024 ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
Paroxysmal supraventricular tachycardia is a reentry tachycardia,
commonly noted in elderly patients with underlying heart disease. What
treatment may be helpful before using adenosine ie. the drug of choice? -
ANSWER- vagal maneuvers or antianxiety medication
What are some drugs associated with Torsades de pointes? - ANSWERtricyclic antidepressants, erythromycin, ketoconazole, haloperidol,
cisapride, disopyramide, pentamidine, sotalol, class I anti-arrhythmics
CHF - Systolic dysfunction means a problem with the ____. What drug
is contraindicated? - ANSWER- pump; CCB!
CHF - Diastolic dysfunction means a problem with the ____. -
ANSWER- compliance or relaxation of the heart during ventricular
filling
The ________principle means that as preload increases, the ventricle is
stretched during diastole filling and the ejection fraction is increased. -
ANSWER- Frank-Starling principle
_____is released from cardiac ventricles in response to increased wall
tension. - ANSWER- BNP - B-type natriuretic peptide
What is the pharmacologic therapy for heart failure? - ANSWER- 1.
diuretics for fluid retention
2. ACEi
3. vasodilators (hydralazine & nitrates)
4. BB for LV dysfunction
5. digitalis to increase cardiac contractility
Functional Classification of Heart Failure:
___-No cardiac symptoms with ordinary activity.
___-Cardiac symptoms w MARKED activity but asymptomatic at rest
___-Cardiac symptoms w MILD activity but asymptomatic at rest
___-Cardiac symptoms at rest. - ANSWER- Class I, Class II, Class III,
Class IV
Stage 1 Hypertension is defined as greater than ____. Stage 2
Hypertension is defined as greater than ____. - ANSWER- 140/90;
160/100
Hypertension Drug of Choice for:
angina
diabetes
hyperlipidemia
CHF
Previous MI
Chronic Renal Failure
Asthma, COPD - ANSWER- Angina - BB, CCB
Diabetes - ACEi & CCB, avoid diuretics
Hyperlipidemia - ACEi & CCB, avoid diuretics/BB
CHF - diuretics & ACEi, avoid CCB/BB
Previous MI - BB/ACEi
Chronic renal failure - diuretics, CCB
Asthma - diuretics & CCB, avoid BB
Secondary hypertension is HTN due to an ______. - ANSWERidentifiable cause ie. renovascular disease, coarctation of the aorta,
primary aldosteronism, Cushing's, Pheochromocytoma, OSA, renal
parenchymal hypertension
____hypertension is potentially life threatening - HTN plus
rentinopathy, cardiovascular/renal compromise, or encephalopathy. -
ANSWER- Malignant
Malignant hypertension bp? What is the rule of thumb for lowering? -
ANSWER- greater than 220/140; 10% in first hour and 15% for the next
3-12 hours, to normal over next 2 days
What is the agent of choice for BP lowering for patients with
hypertensive encephalopathy, intracranial bleeding, and heart failure?
Use with what for dissecting aneurysm? - ANSWER- nitroprusside;
propranolol -- clonidine can also be used but sedation is common
Hypotension is defined as a systolic blood pressure less than _____mm
Hg or a decrease from baseline by more than 30mmHg. What are the 3
treatments for improving blood pressure? - ANSWER- 90mmHg;
1. IV Fluids
2. Vasopressors - dopasmine, dobutamine (risk is aggravation of
arrhythmias and increase myocardial oxygen demand)
3. intra-aortic balloon pump
ST Elevations in II, III, aVF - ANSWER- Inferior MI; right coronary
artery
ST Elevations in I, aVL, V4, V5, V6 - ANSWER- lateral wall MI, left
circumflex artery
ST Elevations in V1, V2, V3, V4, V5 - ANSWER- Anterioseptal MI,
left anterior descending artery
ST Elevations in V1, V2 - ANSWER- posterior wall MI, posterior
descending artery
No nitroglycerin in which kind of MI? - ANSWER- inferior
jordancarter 7 months ago
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